Identify and treat the underlying cause with a healthcare professional
Reduce or stop corticosteroid medications only under medical supervision
Manage stress with regular sleep, relaxation, and exercise
Maintain a balanced diet with adequate protein, fiber, and limited added sugar
Limit caffeine and alcohol
Treat sleep disorders, especially sleep apnea, if present
Address anxiety or depression with appropriate therapy or medication
Monitor blood pressure, blood sugar, and weight
Consider testing for Cushing syndrome if cortisol remains high
Use prescribed medications to lower cortisol when indicated
Consider surgery, radiation, or other specialist treatment for tumors causing excess cortisol
Follow up regularly with an endocrinologist